STACEY KERWIN
NPI 1134786783
Behavior Analyst in Springfield, IL
NPI Status: Active since May 20, 2019
Contact Information
3921 PINTAIL DR
SPRINGFIELD, IL
ZIP 62711
Phone: (815) 216-7983
- Individual
- Female
- Behavior Analyst
- Accepts Insurance
About STACEY KERWIN
This page provides the complete NPI Profile along with additional information for Stacey Kerwin, a provider established in Springfield, Illinois with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1134786783 assigned on May 2019. The practitioner's primary taxonomy code is 103K00000X with license number 1-19-37132 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1134786783
- Provider Name
- STACEY KERWIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3921 PINTAIL DR SPRINGFIELD, IL 62711
- Location Phone
- (815) 216-7983
- Mailing Address
- 3921 PINTAIL DR SPRINGFIELD, IL 62711
- Mailing Phone
- (815) 216-7983
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-20-2019
- Last Update Date
- 11-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1-19-37132
- License State
- IL
- Taxonomy Description
- A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for STACEY KERWIN
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 7 | 8 | 6 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 14 | 8 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 4 + 8 + 1 + 2 + 7 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1134786783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932707775 | JODI L OLLER RBT Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 622-0564 |
| 1447914700 | KAROLINE GLEAVE Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1952066755 | VINCENT PLANK Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1467104778 | KIARA ANGELA COLE Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1841942083 | HALEY CASH Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1083368138 | DEJIOUR BURNS Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1215678388 | COURTNEY PAIGE NORTON Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1427799592 | MALLORY BOPP Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 553-8243 |
| 1093453839 | FAITH LOUISE WILLIAMSON Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1134864176 | MALAIAH MCRORY Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1184361792 | AMANDA WILSON-MEYER Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (502) 297-0133 |
| 1598401077 | LACEY CARLOCK Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (502) 297-0133 |
| 1851030902 | ALLISON HILL Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1548991649 | HANNAH STULTS Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1598494510 | FRANCES MAGNOILA BUGG Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (502) 297-0133 |
| 1699406793 | SHIRLEY CHANEY Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1114651726 | DANIELA TIERRABLANCA MENDOZA Individual | Behavior Analyst | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 843-0290 |
| 1215663992 | TYEKEASHA NASHA ESTER Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 572-2286 |
| 1407582182 | ASHLEE SHANE RENFRO Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 572-2286 |
| 1881327724 | OLIVIA CLAIRE FRICHTL Individual | Behavior Technician | 3921 PINTAIL DR SPRINGFIELD, IL 62711 (217) 572-2286 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134786783, enumerated in the NPI registry as an "individual" on May 20, 2019
The provider is located at 3921 Pintail Dr Springfield, Il 62711 and the phone number is (815) 216-7983
The provider's speciality is Behavior Analyst with taxonomy code 103K00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 20, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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